My patient has abdominal and flank pain: Identifying renal causes

Cox, Christopher E.; MacDonald, Scott; Henneberry, R.; Atkinson, Paul

doi:10.1177/1742271x15601617

Cited by 15 publications

(16 citation statements)

References 36 publications

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“…Renal ultrasound is a component of POCUS training and assessment; most EM graduates will have significant experience using ultrasound at the bedside [ 6 - 7 ]. POCUS is available in all academic EDs and most community EDs and has been shown to be effective in urinary tract imaging as a quick and effective way to locate and characterize distal urethral stones to assess for obstruction [ 8 ]. The use of POCUS allows for a more rapid diagnosis, shorter length of stay, and decreased exposure to radiation by decreasing the need for computed tomography [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

The Case of an Obstructed Stone at the Distal Urethra

Higa

Irving

Cervantes

et al. 2017

Cureus

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This report highlights a presentation of urinary calculus impacted at the urethral meatus and bedside extraction after evaluation with point-of-care ultrasound (POCUS). Visualization of a stone at the urethral meatus prompted a point-of-care ultrasound of the penile shaft and glans. The ultrasound ruled out anatomic variations such as urethral diverticula and as a result bedside removal was expedited. The stone was successfully removed with traction and intraurethral lidocaine gel without urethral lesions or injury to the meatus. Bedside ultrasound is readily available in the emergency department and can be used to characterize urethral foreign bodies, evaluate urethral anatomy, and assess the likelihood of bedside removal.

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Section: Discussionmentioning

confidence: 99%

The Case of an Obstructed Stone at the Distal Urethra

Higa

Irving

Cervantes

et al. 2017

Cureus

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“…For abdominal aorta aneurysm (AAA) and suprapubic view, abdominal aorta was scanned on the superior umbilical line in the transverse plane. AAA is defined when the diameter greater than 3 cm in literature [18,19]. In this study, scanning was performed to find a significant visual one.…”

Section: Methodsmentioning

confidence: 99%

“…Suprapubic free fluid was evaluated by examining the medial pelvis in the perpendicular axis using a convex probe [19].…”

Section: Methodsmentioning

confidence: 99%

Point-of-Care Emergency Ultrasonography in Non-Traumatic Cardiac Arrest and Near-Arrest Emergency Patients; A Pilot Trial

Gülalp

Evrın

Akarca

et al. 2020

Disaster Emerg Med J

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INTRODUCTION: In this study, we evaluated the applicability and interpretation of point-of-care emergency ultrasound (POCEUS) performed by an emergency physician (EP) in non-traumatic adult cardiac arrest and near-arrest patients at presentation to the Emergency Department (ED). METHODs: POCEUS was performed in 5 steps on 73 adults to assess; 1. Qualitative global cardiac function, cardiac chambers and presence of pericardial effusion; 2. Presence of pleural sliding, B-lines, A-lines or consolidation on anterior-superior; 3. Presence of an abdominal aorta aneurysm and pelvic free fluid; 4. Presence of pleural effusion, consolidation, free fluid on lateral-inferior; 5. Qualitative width and collapsibility of the inferior vena cava. A fulfilled checklist and real-time images of ultrasonography were sent by WhatsApp to the head of the study to generate the evidence and collect the data. The process of patient care, in-hospital diagnosis and survival were retrieved from digital hospital records. This prospective multicenter sample study was conducted from November 16, 2015, to January 5, 2016. REsUlTs: The most common findings of POCEUS were performed and interpreted to have a first prediction of patients' acute clinic problem by EPs were compatible with global systolic dysfunction (n = 16, 22.9%), pulmonary edema (n = 17, 23.3%), pulmonary embolus (n = 6, 8.2%), distributive/hypovolemic shock (n = 12, 16.4%), cardiac tamponade or pericardial effusion (n = 5, 6.8%), and pneumonia (n = 31, 42.5%) at presentation. The kappa correlation coefficient value of the POCEUS at presentation versus the final, traditional clinical diagnosis of the admitted ward, was 0.773 (95% CI, 0.747-0.892; p = 0.064, McNemar). CONClUsIONs: POCEUS performed by an EP at presentation had a good agreement between in qualitative prediction of the first differential diagnosis in life-threatened patients and the last diagnosis obtained during hospitalization. Furthermore, this study showed the requirement of evidence in comparison of measurements to the qualitative manner and new descriptive processes in POCEUS for unexplained situations and questions.

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“…Abdominal Study (5 studies with the following images per study) [27][28][29][30][31][32][33][34] Total: 20 images An Example Protocol of POCUS Credentialing | Mathews and Zwank minimum requirements, and because of the varying training curves of learning, 76-80 1 hospitalist may need to submit 300 files for review to meet the standards, while another may need to submit 500 files. Submissions are not accepted unless they yield high-quality video files with meticulous attention to gain, depth, and appropriate topographic planes.…”

Section: B-linesmentioning

confidence: 99%

Hospital Medicine Point of Care Ultrasound Credentialing: An Example Protocol

Mathews

Zwank

2017

Journal of Hospital Medicine

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Though the use of point-of-care ultrasound (POCUS) has increased over the last decade, formal hospital credentialing for POCUS may still be a challenge for hospitalists. This document details the Hospital Medicine Department Ultrasound Credentialing Policy from Regions Hospital, which is part of the HealthPartners organization in Saint Paul, Minnesota. National organizations from internal medicine and hospital medicine (HM) have not published recommended guidelines for POCUS credentialing. Revised guidelines for POCUS have been published by the American College of Emergency Physicians, though these are not likely intended to guide hospitalists when working with credentialing committees and medical boards. This document describes the scope of ultrasound in HM and our training, credentialing, and quality assurance program. This report is intended to be used as a guide for hospitalists as they work with their own credentialing committees and will require modification for each institution. However, the overall process described here should assist in the establishment of POCUS at various institutions.

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My patient has abdominal and flank pain: Identifying renal causes

Cited by 15 publications

References 36 publications

The Case of an Obstructed Stone at the Distal Urethra

The Case of an Obstructed Stone at the Distal Urethra

Point-of-Care Emergency Ultrasonography in Non-Traumatic Cardiac Arrest and Near-Arrest Emergency Patients; A Pilot Trial

Hospital Medicine Point of Care Ultrasound Credentialing: An Example Protocol

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